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Individual

CHANCE KAIPO TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 HARRIS SPRING RD, LAS VEGAS, NV 89124
(702) 872-5382
Mailing address
5421 CORY PL, LAS VEGAS, NV 89107
(702) 759-6577

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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